Healthcare Provider Details

I. General information

NPI: 1780774059
Provider Name (Legal Business Name): NUCLEAR MEDICINE ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2006
Last Update Date: 04/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 HENNESSY BLVD
BATON ROUGE LA
70808-4375
US

IV. Provider business mailing address

7777 HENNESSY BLVD SUITE 110
BATON ROUGE LA
70808-4300
US

V. Phone/Fax

Practice location:
  • Phone: 225-769-9797
  • Fax: 225-769-4228
Mailing address:
  • Phone: 225-769-9797
  • Fax: 225-769-4228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LUKE STEVEN BUJENOVIC
Title or Position: PARTNER
Credential: M.D.
Phone: 225-769-9797